Sean Balkcom , PA-C
Physician Assistant โข Pomona, CA
255 E Bonita Ave Ste 101
Pomona, CA 917671923
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on September 13, 2016; this date does not establish years in practice.
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Published CMS data list 2,739 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J3301 โ Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 1,775 service units.
- 99213 โ Established patient outpatient office visit: 369 service units.
- 20610 โ Aspiration and/or injection of fluid from large joint: 358 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 7 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 866 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 188 prescription fills, including refills.
- Baclofen โ 172 prescription fills, including refills.
- Ciprofloxacin Hcl โ 76 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 17 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Pomona, CA (2024, 54 clinicians with data). Median for this group: 120. Middle half: 52 to 439.
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: 198. Middle half: 71 to 535.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 542 in 2020 to 2,739 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
255 E Bonita Ave Ste 101
Pomona, CA 917671923
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Rancho Cucamonga, CA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 1 group name: Faculty Physicians And Surgeons Of Llusm. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Western University Of Health Sciences College Of Dental Med
2016
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
491 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $117,821 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $87,687 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
895 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$40,337 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $41.06 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
10 years (graduated 2016)
CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2016
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Sean Balkcom has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Sean Balkcom as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Pomona and California
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in Pomona, CA (2024, 54 clinicians with data). Median for this group: 120. Middle half: 52 to 439.
More Medicare Part B services than 90% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: 198. Middle half: 71 to 535.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Pomona, CA (2024, 54 clinicians with data). Median for this group: $12,385. Middle half: $5,755 to $35,877.
A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: $18,173. Middle half: $6,666 to $41,587.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Pomona, CA (2024, 54 clinicians with data). Median for this group: $8,987. Middle half: $4,437 to $27,651.
A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: $13,209. Middle half: $4,792 to $30,879.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Pomona, CA (2024, 86 clinicians with data). Median for this group: 234. Middle half: 85 to 700.
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in California (2024, 7,516 clinicians with data). Median for this group: 229. Middle half: 72 to 718.
Part D drug cost
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Pomona, CA (2024, 86 clinicians with data). Median for this group: $2,868. Middle half: $565 to $50,467.
A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in California (2024, 7,516 clinicians with data). Median for this group: $3,945. Middle half: $709 to $60,209.
186 active clinicians are listed under Physician Assistant with a practice address in Pomona, CA (14,458 in California).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Pomona
8.6% of these 186 clinicians have the CMS telehealth indicator.
34.4% of these 186 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 405% from 542 in 2020 to 2,739 in 2024.
- 2020: 542
- 2021: 631
- 2022: 1,847
- 2023: 2,451
- 2024: 2,739
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Medicare-allowed amount
Medicare-allowed amount increased 178% from $42,333 in 2020 to $117,821 in 2024.
- 2020: $42,333
- 2021: $40,868
- 2022: $90,689
- 2023: $128,336
- 2024: $117,821
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Paid by Medicare
Paid by Medicare increased 186% from $30,634 in 2020 to $87,687 in 2024.
- 2020: $30,634
- 2021: $30,516
- 2022: $69,619
- 2023: $96,468
- 2024: $87,687
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 435% from 162 in 2020 to 866 in 2024.
- 2020: 162
- 2021: 141
- 2022: 543
- 2023: 522
- 2024: 866
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30-day fills
30-day fills increased 453% from 162 in 2020 to 895 in 2024.
- 2020: 162
- 2021: 141
- 2022: 553
- 2023: 538
- 2024: 895
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Part D drug cost
Part D drug cost increased 2368% from $1,634 in 2020 to $40,337 in 2024.
- 2020: $1,634
- 2021: $1,187
- 2022: $15,840
- 2023: $16,264
- 2024: $40,337
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $58.98 in 2021 to $41.06 in 2025.
- 2021: $58.98
- 2025: $41.06
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $41.06.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
WaveWriter Alpha Prime 16 | General | $41.06 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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1,775 | 180 | $20.00 | $0.97 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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369 | 277 | $233.09 | $79.01 |
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20610
Aspiration and/or injection of fluid from large joint
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358 | 203 | $327.82 | $67.55 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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94 | 94 | $324.15 | $96.72 |
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J7326
Hyaluronan or derivative, gel-one, for intra-articular injection, per dose
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93 | 48 | $1700.00 | $506.87 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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28 | 28 | $496.43 | $145.27 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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22 | 22 | $335.45 | $112.00 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 188 | 1,438 | $2,636.77 | 130 |
| Baclofen | Baclofen | 172 | 3,681 | $1,545.34 | 138 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 76 | 422 | $333.56 | 73 |
| Doxycycline Hyclate | Doxycycline Hyclate | 75 | 948 | $991.89 | 67 |
| Gabapentin | Gabapentin | 73 | 2,120 | $570.71 | 61 |
| Xarelto | Rivaroxaban | 50 | 1,463 | $30,509.05 | 43 |
| Naloxone Hcl | Naloxone Hcl | 42 | 526 | $2,336.75 | 33 |
| Methylprednisolone | Methylprednisolone | 29 | 173 | $200.47 | 29 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 25 | 178 | $369.42 | 20 |
| Ibuprofen | Ibuprofen | 23 | 392 | $147.31 | 19 |
| Amoxicillin | Amoxicillin | 21 | 57 | $72.74 | 18 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 20 | 348 | $228.03 | 13 |
| Tramadol Hcl | Tramadol Hcl | 18 | 160 | $71.97 | 15 |
| Meloxicam | Meloxicam | 16 | 850 | $43.16 | 12 |
| Acetaminophen-Codeine | Acetaminophen With Codeine | 14 | 80 | $109.81 | โ |
| Cephalexin | Cephalexin | 13 | 125 | $107.09 | โ |
| Oxycodone Hcl | Oxycodone Hcl | 11 | 76 | $62.59 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-02-07NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20170422000181
CA
7719263011
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Faculty Physicians And Surgeons Of Llusm
900 E Washington St, Colton, CA 923244192
Phone: 9095584000
Faculty Physicians And Surgeons Of Llusm
File Number, Los Angeles, CA 900744701
Faculty Physicians And Surgeons Of Llusm
25455 Barton Rd, Loma Linda, CA 923543128
Phone: 9095582808
Faculty Physicians And Surgeons Of Llusm
11370 Anderson St, Loma Linda, CA 923543450
Faculty Physicians And Surgeons Of Llusm
11234 Anderson St, Loma Linda, CA 923542804
Faculty Physicians And Surgeons Of Llusm
11406 Loma Linda Dr, Loma Linda, CA 923543711
Phone: 9095586277
Secondary Practice Locations
7777a Milliken Ave Ste 101
Rancho Cucamonga, CA 917306778
Phone: 9095937437
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Orthopaedic Surgery
Physician Assistant
Physician Assistant (Certified)
Podiatrist - Foot & Ankle Surgery
Doctor of Podiatric Medicine
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 255 E BONITA AVE STE 101, POMONA, CA 917671923 (Tel: 9095937437)
Registered at 255 E BONITA AVE STE 101, POMONA, CA 917671923 (Tel: 9095937437)
Registered at 2776 N GAREY AVE, POMONA, CA 91767 (Tel: 9095937437)
Registered at 2776 N GAREY AVE, POMONA, CA 917671810 (Tel: 9095937437)
Recorded as SEAN BALKCOM, PA-C
Physician Assistant (license number reported to NPPES: CA 53988)
NPI status registered as active in NPPES database
Registered at 39 WILLOWBROOK LN, POMONA, CA 917664853 (Tel: 9095250514)
Registered at 39 WILLOWBROOK LN, POMONA, CA 917664853
Recorded as SEAN BALKCOM
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Pomona
- Nancy Abernathy
- Fernando Hernandez
- Catherine Huynh, PA-C
- Cynthia Hoang, PA-C
- Suchada Tachasooksaree, MSPAS, MPH, PA-C
- Alyssa Gregorec, PA
Mailing Address
255 E Bonita Ave Ste 101
Pomona, CA 917671923
Phone: 9095937437